Organization
KENNETH J DOBULER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A CONLON (OFFICE MANAGER)
(203) 732-7573
Entity
Organization
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7573
(203) 732-7418
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7573
(203) 732-7418
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019661
CT
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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